94 FF2-23 A Minimally Invasive Technique Uses a Bipolar Pencil to Retrieve a Dropped Nucleus Hiroshi ASO Japan The dropped nucleus of the lens is one of several intraoperative complications during cataract surgery that needs to be safety addressed. To preserve vision, the dropped nucleus of the lens must be removed while minimizing damage to the cornea, iris, and retina. We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). This video highlights the limitations of conventional methods for removing dropped nucleus and proposes a technique using the new technique to remove dislocated lenses through a small incision. FF2-24 When Orientation Matters: Surgical Correction of an upside-down ACIOL Abirami Shavani SANMUGAM Malaysia This surgical video demonstrates the management of an upside-down anterior chamber intraocular lens causing pupillary block, secondary glaucoma, and corneal haze from prolonged intraocular inflammation. The patient presented with markedly reduced vision, elevated intraocular pressure, iris bombe, and corneal oedema following complicated cataract surgery with ACIOL implantation. Examination findings confirmed an inverted ACIOL as the underlying cause. The video highlights key surgical steps including controlled and careful explantation of the malpositioned lens and correct re-implantation of the ACIOL. Immediate relief of pupillary block was achieved, with rapid normalisation of intraocular pressure and progressive clearing of the cornea postoperatively. This case emphasises the importance of early recognition of upside-down intraocular lens syndrome and timely surgical correction to prevent irreversible anterior segment complications and optimise visual outcomes. FF2-25 Traumatic Cataract Panorama Mohan RAJAN India Traumatic Cataract can be the result of blunt trauma or penetrating trauma. This video highlights the entire spectrum of traumatic cataracts and the various problems we can encounter like Zonular Dialysis, Posterior Capsule Rupture, Intralenticular Foreign Body, Nucleus Drop, Small Pupil, Fibrotic Anterior Capsule etc. The traumatic cataract panorama gives a complete overview of managing these complex cataracts and delivering optimum visual outcomes in all patients. FF2-26 Retroflexion Is the Key in Iridodialysis Repair Hazem YASSIN Egypt This video highlights the essential role of correcting iris retroflexion as the pivotal step in iridodialysis repair. Failure to address retroflexion before fixation can lead to malpositioned sutures, pupil ovalization, and even disinsertion of the iris root—resulting in surgical failure and poor outcomes. The surgical demonstration shows how precise realignment of the iris restores anatomical integrity, ensures symmetrical tension, and prevents secondary distortions. By addressing retroflexion early, the technique enables secure, tension-free reattachment with excellent pupil centration. Postoperative outcomes include improved pupil roundness, stable light reflexes, and reduced photophobia. This approach underscores that successful iridodialysis repair depends on proper iris repositioning, not just cosmetic restoration but also functional recovery and prevention of disastrous complications. FF2-27 Anteflexion Hazem YASSIN Egypt This case presents a stepwise surgical approach for anterior segment reconstruction in massive iris trauma involving iridodialysis, anteflexion, and traumatic mydriasis. The distorted iris plane was first repositioned to correct anteflexion, followed by pupil stretching for improved tissue handling. Iridodialysis was repaired using a radial “sewing-machine” suture technique through scleral grooves. A three-piece intraocular lens was fixated using the Yamane scleral fixation method. Pupilloplasty was performed to approximate iris defects, and a vitrectomy cutter was used to fashion a round, centered pupil. The combined approach restored anatomical integrity, pupil function, and cosmetic appearance. This technique underscores the importance of addressing iris malposition and traumatic mydriasis in a systematic manner for optimal functional and aesthetic outcomes. FILM FESTIVAL
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